| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,455.66 | $7,838.38 | $8,226.04 | |
BCBS
| Facility | $5,788.36 | $15,811.44 | $25,351.22 | |
Providence
| Facility | $1,450.19 | $1,845.69 | $2,166.55 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |